1 Zource Living Care

NPI 1033436951 - Assisted Living Facility - 310400000X

NPI Details
NPI 1033436951
Enumeration Date 05/03/2010
Last Updated 05/03/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ROGELIO ROGELIO
Position ADMINISTRATOR / PRESIDENT
Phone (954) 826-7813
Fax (305) 945-4186
Practice Location
1401 NE 176TH ST
NORTH MIAMI BEACH FL, 33162-1363, US
Phone (954) 826-7813
Fax (305) 945-4186
Business Location
16808 SW 39TH ST
MIRAMAR FL, 33027-4635, US
Phone (954) 826-7813
Fax (305) 945-4186
Toxanomy
Taxonomy Code 310400000X
License State
License Number
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According to our database, 1 Zource Living Care NPI is 1033436951, taxonomy code is 310400000X 1 Zource Living Care physically located at 1401 Ne 176th St, North Miami Beach FL, 33162-1363. NPI Number 1033115704 has the healthcare provider type.

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1033436951 NPI number is provided on an as is basis without warranty of any kind. 1033436951 is maintained by the National Plan & Provider Enumeration System. The contents of 1 Zource Living Care are for informational purposes only.